PRIORITIZATION OF NURSING PROBLEMS

Rank Problem Justification

1 Acute Pain It is the most priority because if it is

not treated it may harm the client and

based on Maslow’s Hierarchy of

Needs, it is physiological which refers

to be highly prioritized. Also this is an

actual problem that experienced by

the mother.

2 Ineffective breastfeeding It is the second priority problem

because according to Maslow’s

Hierarchy of Needs, it belong to

physiological needs for the baby.

3 Disturbed body image This is the least priority since

according to Maslow’s Hierarchy of

Needs, this problem is fall under self-

esteem

NURSING DIAGNOSIS WITH NURSING INTERVENTIONS

NURSING DIAGNOSIS NURSING INTERVENTION RATIONALE

1. Acute pain related to 1. Assess for the pain To identify the pain

post-operative characteristic like the experiencing by the

procedure secondary quality, severity, location, patient,

to episiotomy as onset, duration, and

evidenced by facial relieving factors.

grimace and pain 2. Provide rapport with the To gain trust and full

scale of 9/10. patient. cooperation during

pain alleviating

periods.

3. Monitor vital signs. The vital signs altered

during pain periods.

4. Provide a therapeutic To aid the alleviation

environment to the patient of pain

5. Encourage the To assist in evaluation

verbalization of feelings

especially during pain

alleviating periods.

6. Administer medication To maintain

“analgesics” as prescribed acceptable level of

by the physician. pain.

7. Encourage adequate rest To prevent fatigue

periods. that can impair ability

to manage or cope

with pain.